Individual
GHASAN M. TABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 W FOOTHILL PKWY # 105-348, CORONA, CA 92882-8545
(951) 374-0025
Mailing address
160 W FOOTHILL PKWY STE 105-348, CORONA, CA 92882-8545
(714) 501-3824
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A88852
CA
208M00000X
Hospitalist Physician
Primary
A88852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A888520
—
CA
Enumeration date
11/29/2006
Last updated
01/10/2022
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